JONATHAN R POYOUROW

FORT CAMPBELL, KY
NPI1902931421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  ld002888)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- JONATHAN R POYOUROW r.d.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
Mailing Address
-- JONATHAN R POYOUROW r.d.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
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